Individual provider Active NPI

Hector A Ruiz

  • Nurse Practitioner
  • Doral, FL
National Provider Identifier
1316725039
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11035163 Issued in FL
Practice address
2000 NW 87TH Ave Ste 204
Doral, FL 33172-2656
Phone
(844) 665-4827
NPI assigned
Sep 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X 9519275 FL
Nurse Practitioner 363L00000X 11035163 FL Primary

Addresses

Primary practice location

2000 NW 87TH Ave Ste 204
Doral, FL 33172-2656

Mailing address

2000 NW 87TH Ave Ste 204
Doral, FL 33172-2656
Phone (844) 665-4827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312003804 FL Practitioner - Nurse Practitioner 6002337557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Health LLCGroup PAC ID 1850838541, 19 clinicians

Practice addresses (Care Compare)

5673 SW 137TH Ave
Miami, FL 33183-1101
Phone (305) 385-3949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9519275FLMDDiabetes Educator Registered Nurse
11035163FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Health LLC Multi-Specialty CurrentSince Jan 9, 2025 Accepting new patients

Locations

5068 Annunciation Cir
Unit 111
Ave Maria, FL 34142
Phone (239) 304-0054

3485 W Flagler St
Ste 300
Miami, FL 33135
Phone (305) 418-0272

5673 SW 137th Ave
Miami, FL 33183
Phone (305) 385-3949

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1316725039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NW 87TH AVE STE 204",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722656",
            "telephone_number": "844-665-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NW 87TH AVE STE 204",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722656",
            "telephone_number": "844-665-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "HECTOR",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "9519275",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11035163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.